Blackwill, Haley Christine

Blackwill, Haley Christine is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Blackwill, Haley Christine can be contacted via phone (714) 880-7812.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (714) 880-7812
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95004960 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95004960 California

Profile Details

NPI number 1811446214
LBN Legal business name Blackwill, Haley Christine
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2016
Last updated Jan 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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